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Ten years' follow-up after iliococcygeus fixation for the treatment of apical vaginal prolapse.
Serati, Maurizio; Salvatore, Stefano; Athanasiou, Stavros; Scancarello, Chiara; Ghezzi, Fabio; Braga, Andrea.
Afiliação
  • Serati M; Department of Obstetrics and Gynecology, Del Ponte Hospital, University of Insubria, Varese, Italy.
  • Salvatore S; Department of Obstetrics and Gynecology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
  • Athanasiou S; First Department of Obstetrics and Gynecology, University of Athens, "Alexandra" Hospital, Athens, Greece.
  • Scancarello C; Department of Obstetrics and Gynecology, Del Ponte Hospital, University of Insubria, Varese, Italy.
  • Ghezzi F; Department of Obstetrics and Gynecology, Del Ponte Hospital, University of Insubria, Varese, Italy.
  • Braga A; Department of Obstetrics and Gynecology, EOC - Beata Vergine Hospital, Via Turconi 23 CP 1652, 6850, Mendrisio, Switzerland. andybraga@libero.it.
Int Urogynecol J ; 32(6): 1533-1538, 2021 Jun.
Article em En | MEDLINE | ID: mdl-33237354
INTRODUCTION AND HYPOTHESIS: Various surgical techniques have been described for vaginal vault prolapse repair, but the best surgical approach is still to be proven. The aim of this study is to report the long-term objective and subjective outcomes of women who underwent iliococcygeus fixation for the treatment of vaginal vault prolapse with a minimum follow-up of 10 years. METHODS: Women with symptomatic vaginal vault prolapse (Pelvic Organ Prolapse Quantification [POP-Q] stage ≥ 2) who had previously undergone hysterectomy for any reason were prospectively enrolled and treated with iliococcygeus fixation. Subjective success was defined as Patient Global Impression of Improvement (PGI-I) ≤ 2 and an absence of bulging symptoms. Objective success was defined as stage of prolapse < 2 in all compartments. Overall success rate was defined as women without prolapse symptoms, PGI-I ≤ 2, stage of prolapse < 2, and no need for other surgery. Prolpase Quality of Life (P-QOL) questionnaires were completed at the preoperative visit and at every follow-up visit. Multiple logistic regression was performed to identify factors involved in the risk of recurrent POP. RESULTS: After a median (range) follow-up of 120 (120-132) months, the subjective, objective, and overall cure rates were 82% (32/39), 74.4% (29/39), and 74.4% (29/39), respectively. Only stage IV vault descensus independently predicted POP recurrence after ICG (OR: 7.66 [95% CI: 1.21-9.02]; p < 0.001). CONCLUSION: Iliococcygeus fixation seems to be a safe and effective option for the treatment of vaginal vault prolapse at 10 years' follow-up.
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Texto completo: 1 Coleções: 01-internacional Temas: Geral Base de dados: MEDLINE Assunto principal: Prolapso Uterino / Prolapso de Órgão Pélvico Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans Idioma: En Revista: Int Urogynecol J Assunto da revista: GINECOLOGIA / UROLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Itália

Texto completo: 1 Coleções: 01-internacional Temas: Geral Base de dados: MEDLINE Assunto principal: Prolapso Uterino / Prolapso de Órgão Pélvico Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans Idioma: En Revista: Int Urogynecol J Assunto da revista: GINECOLOGIA / UROLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Itália